Your Composite Score

Welcome to the National Nursing Home Quality Care Collaborative

Health Services Advisory Group (HSAG), the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO), is pleased to welcome you to the National Nursing Home Quality Care Collaborative (NNHQCC) in Florida. The collaborative aligns national nursing home quality initiatives and partnerships, such as Quality Assurance and Performance Improvement (QAPI), the CMS Partnership to Improve Dementia Care in Nursing Homes, the National Nursing Home Quality Improvement Campaign, and the 2012 CMS Nursing Home Action Plan, with the aim of ensuring that every nursing home resident receives the highest quality of care.

About the Collaborative

The NNHQCC in Florida is a fast-paced, “all teach, all learn” CMS initiative that seeks to spread the practices of high performing nursing homes to every nursing home in Florida. Specifically, the NNHQCC will use a collaborative learning and action networks (LANs) model (e.g., face-to-face meetings, online trainings, conference calls, and webinars) to support the implementation of Quality Assurance and Performance Improvement (QAPI), eliminate healthcare acquired conditions (HACs), and dramatically improve resident satisfaction by focusing on systems that impact quality.

Nursing homes that have joined the collaborative will be working on clinical and organizational topics including, but not limited to:

Reducing healthcare-acquired conditions to achieve a Nursing Home Composite Score of 6.0 or lower by 2019.

Reducing antipsychotic medication rates.

Reducing avoidable hospital readmissions.

Participating in QAPI initiatives.

Reducing staff turnover and implementing consistent assignment.

Improving rates of resident mobility.

A Focus on Clostridium Difficile Infection (CDI) Reporting and Reduction

A Focus on Person-Centered Care

Person-centered care means taking the time to connect with each nursing-home resident in order to understand his or her unique perspective. The videos below focus on placing the resident at the center of their care, and how in doing so, Miami Shores Nursing and Rehab Center was able to individualize care to residents with dementia, while eliminating the use of unnecessary antipsychotic medications.

A staff member at Miami Shores Nursing and Rehab Center describes the effect of reducing unnecessary antipsychotic medications on his relationship with a resident.

Leadership and care providers at Miami Shores Nursing and Rehab Center discuss their journey to support the national and state initiative to improve dementia care and reduce the unnecessary usage of antipsychotic medications in their nursing home.

If you have questions or would like further information, please contact Jo Ann Bukovinsky, RN, BSN, MBA, LHCRM, RAC-CT or Gazelle Zeya, MS, MBA, RAC-CT at FL-NNHQCC@hsag.com.